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AC" R" RrJa
<br />i.. V'.a -I1A CERTIFICATE OF LIABILITY INSURANCE
<br />r ATE (MMIDDr(YYY)
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN„ THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />1212912015
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE. HOLDER, THIS
<br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING, INSURER(S), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pDlicy(ies) musk be endorsed. If SUBROGATION IS WAIVED, subject to
<br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
<br />certificate holder in lieu of such endorsement(s).
<br />PRODUCER ®
<br />Spectrum PIS�C Managerrtent
<br />CONTACT
<br />NAME: Account Manager
<br />74 Q ISCQVOry
<br />Irvine, CA 9261$
<br />PHONIE FAX
<br />949 -76 -5730 Arc No : 949 756 -5740
<br />E -MAIL
<br />ADDRESS:, office@spectrumrisk.com
<br />LAI6CGL0195681C
<br />INSURER(S) AFFORDING COVERAGE NAIL N
<br />INSURER A : Navigator's S ecialt Insurance Co.
<br />36056
<br />www.spectrumrisk.com OC77485
<br />INSURED
<br />TSCM Corp.
<br />INSURER B :. General Insurance Company p of America
<br />24732
<br />TSCM Corporation of Arizona
<br />ur INSURER C : National Union Fire Insurance Co. of Pittsb h,PA
<br />19445
<br />INSURER 0 Cypress Insurance Co.
<br />10855
<br />Pa ano Investment Group, LLC
<br />Ml
<br />Jamestown Lane
<br />Huntington Beach CA 92647
<br />INSURER
<br />INSURER F
<br />COVERAGES CERTIFICATE NUMBER: 27856147 REVISION NUMBER:
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN„ THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR
<br />LTR
<br />TYPE, OF INSURANCE
<br />ADDL
<br />INSO
<br />SUBR
<br />POLICY NUMBER
<br />POLICY EFF
<br />MWDOrYYYY
<br />POLICY EXP
<br />MMIDIDfYYYY
<br />LIMITS
<br />A
<br />„/
<br />',.. COMMERCIAL GENERALLIABILITY
<br />LAI6CGL0195681C
<br />11112016
<br />1/1/2017
<br />EACH OCCURRENCE $ 1,000,000
<br />CLAIMS -MADE ® OCCUR
<br />DAMAGE TO RFN TED
<br />PREMISES Fa occurrence '... $ 100,000
<br />V
<br />MED EXP IAny one person) $ 5,000
<br />Deductible- '.`x2500
<br />PERSONAL .BADVINJURY $ 1,000,000
<br />V
<br />Contractual Liability
<br />GENERAL AGGREGATE $ 2,000,000
<br />GEN'L
<br />AGGREGATE LIMIT APPLIES PER:
<br />POLICY. JPRO F-1 LOC
<br />PRODUCTS - COMPIOPAGG $ 2.,000,000
<br />$
<br />ETHER:
<br />B
<br />AUTOMOBILE
<br />LIABILITY
<br />24CC2983865
<br />11102016
<br />1/1!2017
<br />ECOMBINED INGLE LIMIT $ 1,000,000
<br />BODILY INJURY I, Per person) $
<br />ANY AUTO
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />BODILY INJURY Per accident) $
<br />NON -OWNED
<br />HIRED AUTOS AU'ros
<br />PROPERTY DAMAGE $
<br />P ®r accident..
<br />✓
<br />edcutible -0
<br />C
<br />✓
<br />UMBRELLA LIAB
<br />acUUR
<br />BE 010338524
<br />111/2016
<br />111/2017
<br />EACH OCCURRENCE $ 5,000,000
<br />AGGREGATE $ 5..,000,000
<br />EXCESS LIAa
<br />CLAIIMS -MADE
<br />nED ✓ R'ETENTION$O
<br />$
<br />D
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />ANY PROPRIETOR PARTNEWEXECUTIVE Y
<br />TSW'C603136
<br />71112015
<br />711/2016
<br />/ STATUTE HRH
<br />-
<br />F.L. (EACH. ACCIDENT $ 1,000,000
<br />OFEICERIMEMBER EXCLUDED?
<br />A
<br />NIA
<br />I
<br />F.L. DISEASE - FA EMPLOYEE! $ 1 ,000,000
<br />(Mandatory in NH)
<br />If yes . descnbe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.. L. DISEASE - POLICY LIMIT $ 1,000,000
<br />DESCRIPTION OF OPERATIONS P LOCATIONS f VEHICLES (ACORO 101, Additional Remarks Schedule, may be attached if more space is required)
<br />Re: The Depot at Santa Ana -1000 E. Santa Area Blvd. Santa Ana CA
<br />Dino, its officers, agents and employees and the City, its officers, agents and employees are additional insureds with respect to the general
<br />liability per the attached' blanket carrier form. Primary and non - contributory wording applies.
<br />R"IwV 1VEI) E "I'� ti Et NICEE HEREDIA FIG ol.._ ).
<br />CERTIFICATE HOLDER CANCELLATION
<br />Re: The Depot at Santa Ana -1000 E. Santa Ana Blvd. Santa Ana CA
<br />Santa Ana ire NQnai Transportation Center
<br />San Santa Ana orl Public Works t ion
<br />Agency
<br />20 Civic Center Plaza, M -21
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Santa Ana CA 92701
<br />AUTHORIZED REPRESENTATIVE
<br />Jim Waterhouse
<br />O 1988 -2014 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2014/01,) The ACORD name and logo are registered marks of ACORD
<br />27B,E147 i u s7 e 1 20.16 All Lines fi ,ulnae austarzante i 12L2_1/2rr_E 20:0E:20 IIA (e:,r) I ?age a, Of s
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